Provider Demographics
NPI:1316154032
Name:PRINZ, ULRICH B (MD)
Entity type:Individual
Prefix:
First Name:ULRICH
Middle Name:B
Last Name:PRINZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3705 S GEORGE MASON DR STE C6S
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-3766
Mailing Address - Country:US
Mailing Address - Phone:703-920-8820
Mailing Address - Fax:703-920-9153
Practice Address - Street 1:3705 S GEORGE MASON DR STE C6S
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-3766
Practice Address - Country:US
Practice Address - Phone:703-920-8820
Practice Address - Fax:703-920-9153
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101045300207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine